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CITY OF CENTERVILLE <br />PARKS, TRAILS, AND RECREATION DONATION AND MEMORIAL APPLICATION <br />Name of Donor: _______________________________________________________________ <br />Address of Donor: _____________________________________________________________ <br />Phone Number: ________________________________________________________________ <br />Email: _______________________________________________________________________ <br />Description of Donation: _________________________________________________________ <br />______________________________________________________________________________ <br />______________________________________________________________________________ <br />Desired Location of Donation: ____________________________________________________ <br />______________________________________________________________________________ <br />______________________________________________________________________________ <br />Projected Required Maintenance, if known: __________________________________________ <br />______________________________________________________________________________ <br />______________________________________________________________________________ <br />Wording on Memorial Acknowledgement (if any): ____________________________________ <br />______________________________________________________________________________ <br />______________________________________________________________________________ <br />Monetary Amount of Donation: ___________________________________________________ <br />If space is limited above, include necessary information in an attached letter describing the <br />donation and how the proposed donation meets the applicable criteria outlined in the City Parks, <br />Trails, and Recreation Donation and Memorial Policy. <br />Donor: ____________________________________ Date: _________________________ <br /> <br />